Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jack Rodriquez, MD

Individual provider Psychiatry Physician · NPI 1033199054

Jack Rodriquez, MD is a Psychiatry Physician in Rockford, Illinois. Practices as a sole proprietor. Licensed in Illinois.

Licensed in
IL
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

6072 Brynwood Dr
Rockford, IL 61114-5829
Phone: (815) 636-0825
Fax: (815) 636-2271
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X (IL)

Record details

NPI number1033199054
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedJanuary 17, 2006
Last updated in NPPESJuly 16, 2007
Mailing addressPo Box 15105, Loves Park, IL 61132-5105

Other providers in Rockford